Individual provider · Type 1 NPI

Timothy Dvorak, MA

Mental Health Counselor · Los Angeles, CA

NPI number 1770200537 Active

Practice location

439 N Larchmont Blvd
Los Angeles, CA 90004

Mailing address

PO Box 480924
Los Angeles, CA 90048

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1770200537

Timothy Dvorak, MA's National Provider Identifier is 1770200537, issued on Oct 24, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 24, 2022.